DR. KRISHA CHARLENE FULCHER (NPI# 1740474568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740474568 |
| Entity Type | Individual |
| Full Name | DR. KRISHA CHARLENE FULCHER |
| Credential | PSY.D. |
| Practice Address |
2804 W Marc Knighton Ct Suite A Lecanto FL 34461-6300 |
| Practice Telephone | 3527468000 |
| Practice Fax Number | 3527468003 |
| Mailing Telephone | 3527468067 |
| Mailing Fax Number | 3527468003 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2013-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY7548 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2804 W MARC KNIGHTON CT SUITE A |
| City | LECANTO |
| State | FL |
| Zip Code | 34461-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230044 | Lee Elma Howell Jr. | Family Medicine | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2005-07-22 |
| 1679963938 | Louis L. Orr Iv | Psychologist | 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-8334 | 2015-01-26 |
| 1225282924 | Board of County Commissioners Citrus County | Community/Behavioral Health | 2804 W Marc Knighton Ct, Suite B, Lecanto, FL 34461-6300 | 2008-11-07 |
| 1225289598 | Michelle Antonia Graham | Dentist | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2008-10-06 |
| 1396992558 | Ellen Baxley | Dietitian, Registered | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2008-08-19 |
| 1821287954 | Walton L Vanhoose | Dentist | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2007-10-15 |
| 1750578019 | Michael Bernard Mueller | Family Medicine | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2007-10-01 |
| 1548462393 | Terri Lynette Smith | Family Medicine | 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-6300 | 2007-06-04 |
| 1538211545 | Gainesville Vamc | Clinic/Center | 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-6300 | 2007-01-18 |
| 1083711089 | Mark Joseph Knapp | Internal Medicine | 2804 W Marc Knighton Ct, Lecanto, FL 34461-6300 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
| 1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
| 1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
| 1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
| 1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
| 1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
| 1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
| 1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
| 1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
| 1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
| Find all providers in zip 34461 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558305359 | Brian Andrew Wilson | Psychologist | 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-8334 | 2006-06-15 |
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|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.